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— � 1 <br />i <br />ELECTRI�A� IPERMIT APPLICATION <br />CITY UF EVERETT I'ERMIT SERVICES a-a4 -09 <br />320G CEDAR STR.EEI', EVERETT, WA 98201 I <br />425-257-8816 - FAX 425-257-8857 - www.everettwa.org � Ogb Z—�� <br />APPLICATIONS ARE aCCEPTED FROM 8 AM TO 4 PM <br />/ ll-` j !�'Ll � % � /'7 r�. �i/� Ii� L" <br />-f- <br />PROJECT ADDRESS <br />Ovmer <br />Mail Address <br />City <br />jktSiN�i; (i�. -h� J,�^-i F>��' <br />State2ip Phone <br />i�� �. <br />r_`raT � ✓�.^r� i�v< <br />Tenant AfailAddress City State/Zip Phone <br />(^irw� },f' i <br />N�✓'-`� `�-r�.� ��r i,`_t �:_ � '70,5`" �f����,,� �� j,�z7�� , C..iA ')f'l`I`f �5 1 � <br />Electfical ConlraCtOr Mail Address City Slale2ip Phone <br />,�/.�/LTi `"r_- j %�(� l>,%� <br />Stale License Number <br />., <br />//� .,-n � �'i • . � <br />Proposed Use of Buildir(� l. <br />-l' G��� �) CiL� <br />Contrad Price of Work <br />Contad Persun (Plan Review) <br />Descriplion of Work to Be Done� /��^^ v�L ( � /�l'"`�� �n� 4(/ / t.l !7� G� R-- �� � 1^^�T�'• �- <br />�' � <br />NOTE: WIRING IN N�)N-DWELLINGS IS RE�LIIRED TO <br />6E IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT IOCAL SALES TAX CODE IS 3105 <br />I heieby ceRiry lhat I have read and examined this applicc <br />co�recL All provisions o/ laws and ordinances goveminy i <br />whether specilied herein or not Thr granting et a permrt <br />viola(e or cance/ the provisions ol any ofher state or local <br />performance oI construc0on. That I am aufhonzed by the <br />�vork lor which application is made and I comp/y with the , <br />296.200 WAC. <br />la�v <br />l� <br />� i i „ <br />�[,.��.n..,-��.._, c <br />and <br />the same to be tn�e and <br />k w�ll be comple(ed <br />me to give authonty to <br />construction or the <br />�roperly to peAonn the <br />�rs Law 1827 RCW and <br />FEE <br />�O�� l,, L"- � l.` I <br />